Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200186
Brazilian Journal of Pain
Case Report

The effect of biofeedback on pain and sleep in a patient with temporomandibular disorder. Case report

Efeito do biofeedback na dor e no sono de paciente com disfunção temporomandibular. Relato de caso

Kessia Fernandes; Antônio Sérgio Guimarães; Miguel Meira e Cruz

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Abstract

BACKGROUND AND OBJECTIVES: Literature has shown that behavioral and educational modalities are effective options in the treatment of chronic pain, including temporomandibular disorder, and techniques such as biofeedback have been used for single therapy or in combination for effective pain control in these individuals. Furthermore, the severity of symptoms is related to relevant prognostic factors, such as quality of life, emotional states and sleep quality. The aim of the present study was to evaluate the effect of the biofeedback audiovisual technique on pain control and sleep quality in a patient with temporomandibular disorder.

CASE REPORT: Female patient, 34 years old, with Temporomandibular Disorder. The DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Axis I, diagnostic was applied, and the patient was classified with more than one subtype of temporomandibular disorders: local myalgia and myofascial pain with reference, in addition to neck pain as a comorbidity.

CONCLUSION: In this case, the biofeedback treatment was effective both in reducing pain intensity and improving sleep quality.

Keywords

Biofeedback, Pain control, Seep, Temporomandibular disorder

Resumo

JUSTIFICATIVA E OBJETIVOS: A literatura tem demonstrado que as modalidades comportamentais e educacionais são opções efetivas no tratamento da dor crônica, inclusive da disfunção temporomandibular, e técnicas como o biofeedback vêm sendo utilizadas como terapia isolada ou em combinação para um controle efetivo da dor nesses indivíduos. Além disso, a gravidade dos sintomas tem correlação com fatores de relevância para o prognóstico, como a qualidade de vida, estados emocionais e qualidade do sono. O objetivo deste estudo foi avaliar o efeito da técnica do biofeedback audiovisual no controle da dor e na qualidade do sono em paciente com disfunção temporomandibular muscular.

RELATO DO CASO: Paciente do sexo feminino, 34 anos, com disfunção temporomandibular. O critério diagnóstico DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Eixo I foi aplicado, sendo a paciente classificada com mais de um subtipo de disfunção temporomandibular: mialgia local e dor miofascial com referência, além de cervicalgia como comorbidade.

CONCLUSÃO: No caso clínico apresentado a terapia com biofeedback foi efetiva na redução da intensidade da dor e melhoria da qualidade do sono.

Palavras-chave

Biofeedback, Controle da dor, Disfunção temporomandibular, Sono

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Submitted date:
04/05/2020

Accepted date:
05/28/2020

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